appointments and schedules, chronic renal insufficiency, heart failure, hospitalization, postdischarge appointment, race



  1. Distelhorst, Karen MSN, RN, GCNS-BC
  2. Bena, James F. MS
  3. Morrison, Shannon L. MS
  4. Albert, Nancy M. PhD, CCNS, CHFN, CCRN, FAHA, FAAN


Background: Per national guidelines, early follow-up appointments should be scheduled before discharge, but in previous research, appointments scheduled before discharge were not associated with appointment adherence.


Objectives: The purpose of this study was to determine whether patient, heart failure (HF), and hospital factors were associated with predischarge appointment scheduling.


Methods: A secondary analysis of a medical record review included patients hospitalized for decompensated HF at 3 health system hospitals who had a scheduled office appointment post discharge at 14 days or less. Patient demographics, and social, HF, and hospital factors were studied for association with predischarge scheduling.


Results: In multivariable modeling, the odds of having an appointment scheduled predischarge were based on 3 factors: nonwhite race, history of chronic renal insufficiency, and no admission within 14 days before HF hospitalization.


Conclusions: Appointment scheduling may be based on provider perceptions of readmission risk. Follow-up appointment scheduling practices should be based on systematic processes.